Clinical experience with the detubularized ileocecal reservoir and continent appendicoumbilical stoma in urinary diversion.

Abstract:

OBJECTIVE:To obtain clinical experience of a reservoir using a detubularized ileocecal segment (Mainz pouch) and continent appendiceal stoma connected to the umbilicus. METHODS:The operation was performed in 23 patients. The submucosally placed in situ appendix was connected to the umbilicus acting as the continence mechanism and route for self-catheterization. The follow-up period was 8-62 months. RESULTS:No operative mortality occurred. In 2 patients the postoperative period was complicated by catheter perforation of the appendix. In 4 patients stomal stenosis required excision of the stricture and reanastomosis. All patients are completely continent and catheterization is easy. CONCLUSION:Both functional and cosmetic results are very satisfactory.

journal_name

Eur Urol

journal_title

European urology

authors

Nurmi M,Rajala P,Laato M

doi

10.1159/000474444

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

169-72

issue

2

eissn

0302-2838

issn

1873-7560

journal_volume

31

pub_type

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